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Inscription Judo Pampelonne - saison 2022-2023
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* Indicates required question
Email
*
Your email
Nom du judoka
*
Your answer
Prénom du judoka
*
Your answer
Date de naissance du judoka
*
MM
/
DD
/
YYYY
Sexe
*
Femme
Homme
Required
Adresse mail
*
Your answer
Adresse postale du judoka
*
Your answer
Numéro de téléphone du judoka
Your answer
Couleur de ceinture (blanche si débutant)
Your answer
Le Judoka est-il mineur ?
*
oui
non
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